The baby is shivering?
Hello, doctor.
My baby is almost two months old and experiences shivering about once or twice a day, but there is no gaze fixation.
Is this normal? Thank you!
Ding Ding, 20~29 year old female. Ask Date: 2014/05/06
Dr. Xiao Kaiwen reply Pediatrics
It is normal for infants under four months old to exhibit a tremor reflex, which should not be accompanied by a blank stare (as this could indicate a seizure).
This reflex is typically very brief, lasting only a few seconds, and will stop if an adult holds the infant's hand.
If the tremor lasts longer and does not stop when held by an adult, it may indicate a seizure.
Additionally, if this reflex persists beyond four months of age, it could suggest a neurological abnormality.
Reply Date: 2014/05/06
More Info
When it comes to understanding baby shivering, especially in infants around two months old, it's important to consider several factors regarding their development and physiological responses. Shivering in infants can be a common occurrence, and it may not always indicate a serious problem.
Firstly, it's essential to differentiate between shivering and other forms of movement that infants might display. Shivering is a reflexive response to cold, and it helps generate heat to maintain body temperature. Infants, particularly those under three months, have immature thermoregulation systems, meaning they are still learning how to maintain their body temperature effectively. If your baby is experiencing shivering, it could simply be a response to feeling cold, especially if the environment is cooler than what they are accustomed to.
In your case, since you mentioned that your baby is not exhibiting signs of distress, such as a blank stare or lethargy, this is a positive sign. Infants can occasionally have episodes of shivering without any underlying medical issues. However, it is crucial to ensure that your baby is adequately dressed for the temperature and that their environment is warm enough.
If the shivering occurs frequently or is accompanied by other concerning symptoms, such as changes in feeding patterns, excessive fussiness, or any signs of illness (like fever or difficulty breathing), it would be wise to consult your pediatrician. They can perform a thorough evaluation to rule out any potential issues, such as infections or metabolic disorders, which could cause abnormal shivering.
In addition to environmental factors, consider the possibility of your baby experiencing startle reflexes, which can sometimes be mistaken for shivering. The startle reflex, or Moro reflex, is a normal response in infants where they suddenly extend their arms and legs and then retract them, often in response to a loud noise or sudden movement. This reflex can occur even when the baby is not cold.
Moreover, if your baby is feeding well, gaining weight appropriately, and meeting developmental milestones, these are reassuring signs that they are healthy. Regular check-ups with your pediatrician will help monitor your baby's growth and development, and they can provide guidance on any concerns you may have.
In summary, occasional shivering in a two-month-old baby can be normal, especially if there are no other concerning symptoms. Ensure your baby is warm enough, and keep an eye on their overall behavior and health. If you have any doubts or if the shivering becomes more frequent or concerning, do not hesitate to reach out to your healthcare provider for further evaluation and peace of mind. Your pediatrician is your best resource for understanding your baby's health and development.
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